Skip header and navigation

Refine By

19 records – page 1 of 2.

6-month CPAP-treatment in a young male patient with severe obstructive sleep apnoea syndrome - a case study from the couple's perspective.

https://arctichealth.org/en/permalink/ahliterature165224
Source
Eur J Cardiovasc Nurs. 2008 Jun;7(2):103-12
Publication Type
Article
Date
Jun-2008
Author
Anders Broström
Peter Johansson
Jan Albers
Jan Wiberg
Eva Svanborg
Bengt Fridlund
Author Affiliation
Department of Medicine and Care, Faculty of Health Sciences, Linköping University, Linköping, Sweden. andbr@imv.liu.se
Source
Eur J Cardiovasc Nurs. 2008 Jun;7(2):103-12
Date
Jun-2008
Language
English
Publication Type
Article
Keywords
Adaptation, Psychological
Adult
Attitude to Health
Continuous Positive Airway Pressure - adverse effects - psychology
Cost of Illness
Fear
Female
Follow-Up Studies
Frustration
Humans
Male
Nursing Methodology Research
Obesity, Morbid - complications
Qualitative Research
Quality of Life - psychology
Questionnaires
Severity of Illness Index
Sleep Apnea, Obstructive - diagnosis - etiology - prevention & control - psychology
Snoring - etiology - psychology
Social Behavior
Spouses - psychology
Stress, Psychological - etiology - psychology
Sweden
Treatment Outcome
Abstract
Obstructive sleep apnoea syndrome (OSAS) is independently associated with an increased risk for hypertension and cardiovascular disease. Continuous positive airway pressure (CPAP) can reduce mortality and morbidity, but low compliance rates are seen.
To explore and describe the experiences of CPAP-treatment in a young male patient with severe OSAS during a 6-month period from the couple's perspective. METHODS AND THE CASE: A single case study with a phenomenographic approach was employed. Diagnostic procedures of OSAS and initiation of treatment with Auto-CPAP, humidifier and a nasal mask were performed during 4 visits. Conceptions were collected at 4 different occasions during the 6-month period (before, and 2 weeks, 3 months, and 6 months after treatment initiation) by means of interviews with a 33-year old male patient and his female partner.
Totally 17 different structural aspects were found to fluctuate during the 6-month period in relation to; influence of stressors, social reactions and adaptation to increase compliance.
An increased knowledge about the influence of stressors, the social reactions, and the adaptation can help healthcare personnel to identify and better understand concerns of other patients and spouses during different time phases of the initial 6-month period of CPAP-treatment.
Notes
Comment In: Eur J Cardiovasc Nurs. 2008 Jun;7(2):89-9018396463
PubMed ID
17291832 View in PubMed
Less detail

Clinical characteristics and mortality risk in relation to obstructive and central sleep apnoea in community-dwelling elderly individuals: a 7-year follow-up.

https://arctichealth.org/en/permalink/ahliterature125918
Source
Age Ageing. 2012 Jul;41(4):468-74
Publication Type
Article
Date
Jul-2012
Author
Peter Johansson
Urban Alehagen
Eva Svanborg
Ulf Dahlström
Anders Broström
Author Affiliation
Department of Cardiology, Linkoping University Hospital, Linkoping, Sweden. peter.johansson@aries.vokby.se
Source
Age Ageing. 2012 Jul;41(4):468-74
Date
Jul-2012
Language
English
Publication Type
Article
Keywords
Age Factors
Aged
Aged, 80 and over
Aging
Cardiovascular Diseases - mortality - physiopathology
Cause of Death
Comorbidity
Female
Follow-Up Studies
Humans
Independent living
Kaplan-Meier Estimate
Male
Proportional Hazards Models
Risk assessment
Risk factors
Sleep
Sleep Apnea, Central - mortality - physiopathology
Sleep Apnea, Obstructive - mortality - physiopathology
Stroke Volume
Sweden - epidemiology
Systole
Time Factors
Ventricular Function, Left
Abstract
little is known about demographic and clinical characteristics associated with sleep-disordered breathing (SDB) and obstructive sleep apnoea (OSA) or central sleep apnoea (CSA) in community-dwelling elderly. We also examined these (OSA and CSA) associations to all-cause and cardiovascular (CV) mortality.
a total of 331 community-dwelling elderly aged 71-87 years underwent a clinical examination and one-night polygraphic recordings in their homes. Mortality data were collected after seven years.
a total of 55% had SDB, 38% had OSA and 17% had CSA. Compared with those with no SDB and OSA, more participants with CSA had a left ventricular ejection fraction 75 years does not appear to be associated with cardiovascular disease (CVD) disease or mortality, whereas CSA might be a pathological marker of CVD and impaired systolic function associated with higher mortality.
PubMed ID
22440587 View in PubMed
Less detail

Communication between patients with obstructive sleep apnoea syndrome and healthcare personnel during the initial visit to a continuous positive airway pressure clinic.

https://arctichealth.org/en/permalink/ahliterature280963
Source
J Clin Nurs. 2017 Feb;26(3-4):568-577
Publication Type
Article
Date
Feb-2017
Author
Anders Broström
Bengt Fridlund
Berith Hedberg
Per Nilsen
Martin Ulander
Source
J Clin Nurs. 2017 Feb;26(3-4):568-577
Date
Feb-2017
Language
English
Publication Type
Article
Keywords
Adult
Continuous Positive Airway Pressure - psychology
Female
Humans
Male
Middle Aged
Patient Education as Topic - methods
Patient satisfaction
Physician-Patient Relations
Sleep Apnea, Obstructive - psychology - therapy
Sweden
Abstract
To describe facilitators and barriers from a patient perspective in communications between patients with obstructive sleep apnoea syndrome and healthcare personnel during the first meeting when continuous positive airway pressure is initiated.
Adherence to continuous positive airway pressure treatment tends to be poor, especially at the initial phase of treatment. Communication between the patient and healthcare personnel has not been studied from the patient perspective, as either a barrier or facilitator for adherence.
A descriptive design using qualitative content analysis was used. Interviews with 25 patients with obstructive sleep apnoea syndrome took place after their initial visit at four continuous positive airway pressure clinics. A deductive analysis based on The 4 Habits Model (i.e. emphasise the importance of investing in the beginning of the consultation, elicit the patient's perspective, demonstrate empathy and invest in the end of the consultation) was conducted.
Building confidence (i.e. structure building, information transfer, commitment) or hindering confidence (i.e. organisational insufficiency, stress behaviour, interaction deficit) was associated with investing in the beginning. Motivating (i.e. situational insight, knowledge transfer, practical training) or demotivating (i.e. expectations, dominance and power asymmetry, barriers) was associated with eliciting the patient's perspective. Building hope (i.e. awareness, sensitivity, demonstration of understanding) or hindering hope (i.e. unprepared, uncommitted, incomprehension) was associated with showing empathy. Agreement (i.e. confirmation, responsibilities, comprehensive information) or disagreement (i.e. structural obscurity, irresponsibility, absent-mindedness) was associated with investing in the end.
Understanding of facilitators and barriers, as described by patients, can be used to improve contextual conditions and communication skills among healthcare personnel.
A patient-centred communication technique should be used in relation to all stages of The 4 Habits Model to facilitate shared decision-making and improve adherence to continuous positive airway pressure treatment.
PubMed ID
27685080 View in PubMed
Less detail

Congestive heart failure, spouses' support and the couple's sleep situation: a critical incident technique analysis.

https://arctichealth.org/en/permalink/ahliterature53590
Source
J Clin Nurs. 2003 Mar;12(2):223-33, 34
Publication Type
Article
Date
Mar-2003
Author
Anders Broström
Anna Strömberg
Ulf Dahlström
Bengt Fridlund
Author Affiliation
Department of Cardiology, University Hospital, Linköping, Sweden. anders.brostrom@hul.liu.se
Source
J Clin Nurs. 2003 Mar;12(2):223-33, 34
Date
Mar-2003
Language
English
Publication Type
Article
Keywords
Adaptation, Psychological
Adult
Aged
Aged, 80 and over
Anxiety
Attitude to Health
Family Characteristics
Fatigue - complications - etiology
Female
Heart Failure, Congestive - complications
Humans
Interviews
Male
Middle Aged
Multivariate Analysis
Quality of Life
Questionnaires
Sleep - physiology
Sleep Disorders - complications - physiopathology
Spouses - psychology
Sweden
Abstract
Sleep related breathing disorders are common as well as a poor prognostic sign associated with higher mortality in patients with congestive heart failure (CHF). These patients often have a shorter total duration of sleep, disturbed sleep structure and increased daytime sleepiness, which can negatively affect all dimensions of the life situation. The spouse has an important role in supporting the patient in relation to sleep disorders, but this role may be adversely affected by the sleep situation of the couple. The aim of this study was to describe decisive situations that influence spouses' support to patients with CHF in relation to the couple's sleep situation. A qualitative descriptive design using critical incident technique was employed. Incidents were collected by means of interviews with 25 spouses of patients with CHF, strategically selected from two hospital-based specialist clinics in southern Sweden. Two main areas emerged in the analysis: support stimulating situations and support inhibiting situations. Support stimulating situations described how spouses' support was positively affected by their own adaptation in psychosocial or practical situations, and receiving help from others. Support inhibiting situations described how the spouses' support was negatively affected by sleep disturbances as a result of the patient's symptoms, anxiety in relation to the disease, limitations as a result of the sleeping habits, dissatisfaction with care related to the sleep situation, and being left to cope alone with the problems. An increased understanding of the stimulating and inhibiting situations influencing spouses' support for patients with CHF can guide health care personnel in deciding if an intervention is needed to improve the sleep situation for patient and spouse.
PubMed ID
12603554 View in PubMed
Less detail

Content and distribution of discursive space in consultations between patients with atrial fibrillation and healthcare professionals.

https://arctichealth.org/en/permalink/ahliterature126763
Source
Eur J Cardiovasc Nurs. 2013 Feb;12(1):47-55
Publication Type
Article
Date
Feb-2013
Author
Eleni Siouta
Anders Broström
Berith Hedberg
Author Affiliation
Department of Nursing Science, School of Health Sciences, Jönköping University, Sweden. eleni.siouta@hhj.hj.se
Source
Eur J Cardiovasc Nurs. 2013 Feb;12(1):47-55
Date
Feb-2013
Language
English
Publication Type
Article
Keywords
Adult
Aged
Aged, 80 and over
Atrial Fibrillation - diagnosis - therapy
Attitude of Health Personnel
Communication
Databases, Factual
Female
Health Personnel - organization & administration
Humans
Male
Middle Aged
Nurse-Patient Relations
Patient Care Team - organization & administration
Physician-Patient Relations
Professional-Patient Relations
Quality Control
Questionnaires
Referral and Consultation - standards - trends
Sweden
Videotape Recording
Abstract
To describe (i) the topics participants talk about, (ii) the use of discursive space in consultations between patients with atrial fibrillation (AF) and their nurses and physicians, and (iii) the frequencies of the ways the patients, nurses and physicians introduce the topics.
Data were collected from 23 videotaped consultations concerning patients with AF as well as physicians and nurses, respectively. To obtain a description of topics discussed, the transcripts were analysed using content analysis. The patterns of dominance for the respective topic and participant were explored from the framework of analysis that treats dominance.
Four topics were used by both nurses and physicians in the consultations. These were 'pathophysiology', 'diagnostic procedures', 'treatment' and 'activity'. In the nurse-patient consultation an additional topic, 'routines related to the physician's responsibilities', emerged. With respect to the number of words and turns, the distribution of the discourse space was almost equal between the nurses and patients and unequal between the physicians and patients. The healthcare professionals initiated the topics more frequently compared to the patients, whereby the medical approach recommended in the guidelines for AF could be recognized. The patients were the dominating initiators in the topic 'activity', which refers to the adaptation of activities in daily life in relation to the AF.
The medical-driven agenda dominates over the patient-driven agenda in consultations between healthcare professional and patients with AF. The patients initiated the conversations when discussing living with AF and were more talkative during conversations in nurse consultations.
PubMed ID
22357787 View in PubMed
Less detail

The contribution of heart failure to sleep disturbances and depressive symptoms in older adults.

https://arctichealth.org/en/permalink/ahliterature119220
Source
J Geriatr Psychiatry Neurol. 2012 Sep;25(3):179-87
Publication Type
Article
Date
Sep-2012
Author
Peter Johansson
Barbara Riegel
Erland Svensson
Anders Broström
Urban Alehagen
Ulf Dahlström
Tiny Jaarsma
Author Affiliation
Department of Cardiology, Linköping University Hospital, S-58185 Linköping, Sweden. peter.johansson@aries.vokby.se
Source
J Geriatr Psychiatry Neurol. 2012 Sep;25(3):179-87
Date
Sep-2012
Language
English
Publication Type
Article
Keywords
Aged
Comorbidity
Depression - epidemiology - psychology
Electrocardiography - methods - statistics & numerical data
Female
Geriatric Assessment - methods - statistics & numerical data
Heart Failure - epidemiology - psychology
Humans
Male
Questionnaires
Sleep Disorders - epidemiology - psychology
Sweden - epidemiology
Abstract
The aim of this study was to explore the associations between physical symptoms, sleep disturbances, and depressive symptoms in community-dwelling elderly individuals, comparing persons with and without heart failure (HF).
A total of 613 older adults (mean age 78 years) underwent clinical and echocardiographic examinations. Questionnaires were used to evaluate sleep disturbances and depressive symptoms. A model was developed in those with HF (n = 107) and compared with those without HF (n = 506).
Cardiopulmonary symptoms (ie, dyspnea and nighttime palpitations) and pain had significant direct associations with sleep disturbances, which indirectly affected depressive symptoms. The model was essentially the same in those with and without HF except that the effect of sleep disturbances on depressive symptoms was stronger in those with HF (ß = 0.64 vs ß = 0.45, P = .006).
In community-dwelling older adults, regardless of their diagnosis, physical symptoms had a direct effect on sleep disturbances and an indirect effect on depressive symptoms.
PubMed ID
23124012 View in PubMed
Less detail

Determinants of global perceived health in community-dwelling elderly screened for heart failure and sleep-disordered breathing.

https://arctichealth.org/en/permalink/ahliterature100504
Source
J Cardiovasc Nurs. 2010 Sep-Oct;25(5):E16-26
Publication Type
Article
Author
Peter Johansson
Urban Alehagen
Erland Svensson
Eva Svanborg
Ulf Dahlström
Anders Broström
Author Affiliation
Department of Cardiology, Linköping University Hospital, Sweden. peter.johansson@aries.vokby.se
Source
J Cardiovasc Nurs. 2010 Sep-Oct;25(5):E16-26
Language
English
Publication Type
Article
Keywords
Aged
Aged, 80 and over
Depression - epidemiology
Dyspnea - epidemiology
Factor Analysis, Statistical
Female
Health status
Heart Failure - epidemiology
Humans
Male
Mass Screening
Quality of Life
Sleep Apnea Syndromes - epidemiology
Sleep Initiation and Maintenance Disorders - epidemiology
Sweden - epidemiology
Systole
Abstract
The relationships between heart failure (HF), sleep-disordered breathing (SDB), insomnia, depressive symptoms, and excessive daytime sleepiness (EDS), as well as their relationship to Global Perceived Health (GPH) in an elderly community-dwelling population, have not been explored. Data from 331 community-dwelling elderly (71-87 years old) were collected by echocardiography, polygraphy, and specific questionnaires. Factor analyses and structural equation modeling were used to explore the relationships between HF, SDB, sleep, psychosocial factors, and GPH. Exploratory and confirmatory factor analyses derived a 5-factor model representing SDB, insomnia, systolic function, breathlessness/physical function, and psychosocial function. Structural equation modeling analyses were used to explore the relationships between the 5 factors and to GPH. Sleep-disordered breathing had a weak effect on systolic function, but no effects on any of the other factors or GPH were found. Psychosocial function and breathlessness/physical function directly affected GPH. Indirect effects on GPH, mediated by psychosocial function, were found for breathlessness/physical function and insomnia. Systolic function also had an indirect effect on GPH. The fact that SDB in the elderly has no obvious negative associations to sleep complaints or GPH does not exclude them from being adequately treated for SDB. However, the present study has shown that SDB, by means of self-rated sleep complaints and health-related quality of life, can be problematic to detect. Psychosocial function was the most important factor for perceived GPH as it had a direct effect, as well as mediated the factors breathlessness/physical function and insomnia effects, on GPH. This study indicates that interventions in clinical practice targeting psychosocial dysfunction, such as depressive symptoms, could help to improve GPH in the elderly with or without HF.
PubMed ID
20671565 View in PubMed
Less detail

Development and psychometric evaluation of the Swedish propensity to achieve healthy lifestyle scale in patients with hypertension.

https://arctichealth.org/en/permalink/ahliterature296600
Source
J Clin Nurs. 2018 Nov; 27(21-22):4040-4049
Publication Type
Journal Article
Validation Studies
Date
Nov-2018
Author
Anders Broström
Amir H Pakpour
Martin Ulander
Per Nilsen
Author Affiliation
Department of Nursing, School of Health and Welfare, Jönköping University, Jönköping, Sweden.
Source
J Clin Nurs. 2018 Nov; 27(21-22):4040-4049
Date
Nov-2018
Language
English
Publication Type
Journal Article
Validation Studies
Keywords
Adult
Aged
Cross-Sectional Studies
Exercise
Factor Analysis, Statistical
Feeding Behavior
Female
Healthy Lifestyle
Humans
Hypertension - complications - psychology
Male
Middle Aged
Obesity - complications
Psychometrics
Reproducibility of Results
Surveys and Questionnaires - standards
Sweden
Abstract
To develop and validate a Swedish questionnaire to measure propensity for behaviour change regarding food habits, physical activity and weight reduction in patients with hypertension.
Cross-sectional design.
A total of 270 consecutive patients with hypertension diagnosed at four primary care centres in Sweden were included. The 6-item Swedish version of the Propensity to Achieve Healthy Lifestyle Scale (PAHLS) was developed to measure propensity for behaviour change regarding food habits, physical activity and weight reduction. The PAHLS (i.e., including three items for preparedness and three items for capacity) was developed by three multiprofessional researchers inspired by the transtheoretical model of behaviour change in collaboration with clinically active nurses. Data were collected by questionnaires on food habits (i.e., the Food Frequency Questionnaire), physical activity (the International Physical Activity Questionnaire), propensity for a healthy lifestyle (the PHLQ), as well as during a clinical examination. Exploratory (EFA) and confirmatory factor analyses (CFA), as well as Rasch analysis, were used.
Of the 270 patients (50% women), 27% scored low levels of physical activity on the International Physical Activity Questionnaire, and 34% of the patients were obese (body mass index =30 kg/m2 ). The EFA (explaining 54% of the variance) showed unidimensionality for the PAHLS that was supported by both CFA and Rasch analyses. No floor and 1.9% ceiling effects were found. Multiple group CFA (an extension of structural equation modelling) showed that the PAHLS operated equivalently across both male and female patients. Internal consistency (Cronbach's alpha 0.83) and composite reliability (0.89) were good.
The initial testing of PAHLS provided good validity and reliability scores to measure propensity for behaviour change in patients with hypertension.
The PAHLS can be used by nurses as a tool to simplify shared decision-making in relation to behavioural changes.
PubMed ID
29776007 View in PubMed
Less detail

Establishing the Psychometric Properties of the Comprehensive Ethos Towards Wellness Questionnaire in a Norwegian Population.

https://arctichealth.org/en/permalink/ahliterature274301
Source
J Holist Nurs. 2015 Dec;33(4):366-73
Publication Type
Article
Date
Dec-2015
Author
Bengt Fridlund
Jan Mårtensson
Amir Baigi
Anders Broström
Source
J Holist Nurs. 2015 Dec;33(4):366-73
Date
Dec-2015
Language
English
Publication Type
Article
Keywords
Attitude to Health
Female
Health Behavior
Health status
Humans
Male
Middle Aged
Norway
Psychometrics
Quality of Life
Reproducibility of Results
Stress, Psychological - diagnosis
Surveys and Questionnaires - standards
Abstract
to replicate and establish the psychometric properties of the 74-item comprehensive Ethos Towards Wellness Questionnaire in a healthy Norwegian population in terms of content and construct validity as well as homogeneity and stability reliability.
A questionnaire with a methodological and developmental design was sent on two occasions to 214 healthy middle-aged participants and processed in two phases.
The three life context and the ethos indexes at ordinal scale level showed an overall satisfactory construct validity (communalities > 0.30, factor loadings > 0.30, and factor total variance > 50%). On two occasions 4 weeks apart, reliability in terms of homogeneity (Cronbach's a > .70) and stability (intraclass correlation coefficient > 0.70) were also considered satisfactory for the same four indexes.
This newly developed and possibly only questionnaire that focuses on "grasping the big human picture," based on both philosophical reasoning and empirical recommendations of wellness, was found to be valid and reliable in the screening and follow-up of wellness and ethos in a healthy Norwegian population.
PubMed ID
25749994 View in PubMed
Less detail

19 records – page 1 of 2.